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Updated: Aug 30, 2026

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NUTRITION NBNSC-CNSC Exam Overview:

Certification Vendor:National Board of Nutrition Support Certification (NBNSC)
Exam Name:Certified Nutrition Support Clinician (CNSC)
Exam Number:NBNSC-CNSC
Certificate Validity Period:5 years
Available Languages:English
Related Certifications:Certified Nutrition Support Clinician (CNSC)
Exam Duration:180 minutes
Exam Format:Multiple Choice Questions (MCQ)
Exam Price:$350 USD (ASPEN member) / $450 USD (Non-member)
Real Exam Qty:150 (125 scored, 25 pretest)
Passing Score:Scaled score of 500 (on a scale of 0-800)
Sample Questions:NUTRITION NBNSC-CNSC Sample Questions
Exam Way:Computer-based testing at PSI testing centers (In-person)
Pre Condition:Must meet eligibility requirements including specific professional licensure (MD, DO, RD, PharmD, RN, PA) and a minimum number of hours of specialized nutrition support practice (typically 500 hours within the past 2 years).
Official Syllabus URL:https://www.nutritioncare.org/CNSC_Exam

NUTRITION NBNSC-CNSC Exam Syllabus Topics:

SectionWeightObjectives
Clinical Practice12%- Burns and Trauma
  • 1. Metabolic changes
  • 2. Nutritional requirements
- Special Populations
  • 1. Geriatrics
  • 2. Obesity
  • 3. Pediatrics
  • 4. Transplant patients
- Disease-Specific Nutrition
  • 1. Critical illness
  • 2. Pulmonary disease
  • 3. Surgical patients
  • 4. Hepatic disease
  • 5. Renal disease
  • 6. Oncology
  • 7. Pancreatitis
Basic Science12%- Physiology
  • 1. Endocrine regulation
  • 2. Immunology
  • 3. Gastrointestinal physiology
- Anatomy
  • 1. GI tract anatomy
  • 2. Vascular access anatomy
- Biochemistry and Metabolism
  • 1. Micronutrient metabolism
  • 2. Fluid and electrolyte balance
  • 3. Acid-base balance
  • 4. Macronutrient metabolism
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
Nutrition Assessment18%- Medical History and Physical Exam
  • 1. Assessment of nutritional status
  • 2. Identification of risk factors
- Biochemical and Clinical Data
  • 1. Visceral protein markers
  • 2. Organ function tests
  • 3. Micronutrient levels
- Intake Assessment
  • 1. Oral intake evaluation
  • 2. Dietary history
- Estimation of Nutrient Requirements
  • 1. Energy expenditure
  • 2. Protein requirements
  • 3. Fluid requirements
- Anthropometric Measurements
  • 1. Weight changes
  • 2. Growth parameters (pediatrics)
  • 3. Body composition
Clinical Monitoring and Management18%- Complications
  • 1. Mechanical complications
  • 2. GI complications
  • 3. Metabolic complications
  • 4. Infectious complications
- Monitoring of Nutrition Support
  • 1. Adjustment of care plans
  • 2. Clinical monitoring
  • 3. Laboratory monitoring
- Drug-Nutrient Interactions
  • 1. Effects of drugs on nutrients
  • 2. Effects of nutrients on drugs
Team and Program Management12%- Quality Management
  • 1. Policies and procedures
  • 2. Outcome measures
  • 3. Performance improvement
- Education and Training
  • 1. Staff training
  • 2. Patient education
- Interdisciplinary Team
  • 1. Roles and responsibilities
  • 2. Communication
- Ethical and Legal Considerations
  • 1. Informed consent
  • 2. End-of-life nutrition
  • 3. Standards of practice
Clinical Intervention28%- Oral Nutrition Support
  • 1. Supplements
  • 2. Nutrition counseling
  • 3. Texture modifications
- Enteral Nutrition
  • 1. Formula selection
  • 2. Indications and contraindications
  • 3. Pediatric considerations
  • 4. Access devices
  • 5. Administration methods
- Parenteral Nutrition
  • 1. Monitoring
  • 2. Components (dextrose, amino acids, lipids)
  • 3. Indications
  • 4. Vascular access devices
  • 5. Preparation and compounding
- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs

NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions:

Question 1

Which of the following drugs should be taken with food?

A. indomethacin
B. digoxin
C. castor oil
D. levodopa


Question 2

An individual has difficulty swallowing. What will make eating easier?

A. Pureed food.
B. Taking small bites.
C. Small slices of food.
D. A liquid diet.


Question 3

An excess of carbohydrate in the form of sugar can spoil an appetite for other nutrients that are more important. Too many carbohydrates may cause:

A. all of the above
B. irritate the lining of the stomach
C. tooth decay
D. cause flatulence


Question 4

The homeopathic principle that is the systematic verification of the law of similars is which of the following?

A. material medica
B. repertory principle
C. potency theory
D. law of proving


Question 5

A caliper is used to measure which of the following?

A. frame
B. lean tissue
C. height
D. skinfold thickness


Solutions:

Question 1
Answer: A
Question 2
Answer: A
Question 3
Answer: A
Question 4
Answer: D
Question 5
Answer: D

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